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Home My WebLink About2872 NANTUCKET LN; ; CB054229; PermitCity of Carlsbad •• 1635 Faraday Av Carlsbad, CA 92008 12-13-2005 - Plumbing Permit Permit No: CB054229 Building Inspection Request Line (760) 602-2725 Job Address: 2872 NANTUCKET LN CBAD - Permit Type: PLUM . Status: ISSUED Parcel No: ' 1674722400 Lot #: 0 Applied: 12/13/2005 Construction Type: NEW Entered By: LSM Reference #: . Plan Approved: 12/13/2005 Issued: 12/13/2005 Project Title: FILLER RES- COPPER REPIPE Inspect Area: Applicant: . Owner: - ANDERSON PLUMBING INC,WALTER -' FILLER ROBERT-W&CHRISTINA G -,---. 1150N MARSHALL 7 ' . 2872NANTUCKET LN EL CAJON, CA 92020 7 CARLSBADCA 92010. 619-449-3852 / ? \ ,' Plumbing Issue Fee 1 "-L' c. $20.00 Fixture or Trap / ,. - .,--- 0 . •c - C\j.) ..- $0.00 Building Sewer j \\ •' '0, - ç '\ '-:.• (D $0.00 Roof Drain / ' / 0 i-.,, ( .2 $0.00 Install/Repair Water Line •' '-' 7 1 / V1.'\ \ LJ $7.00\ Water Heater and/or Vent / -. 0' - -$0.00 \ Gas Piping System / '-•J .' '_7 \ '' S$O.0O \ Vacuum Breaker f .. '---- / \ o \ 00 Other Plumbing Fees -. -'--,.- . \ —$33.00 Master Drainage Fee ..2) hi '} 1' y' Sewer-Fee ---' .. -- j $0.00 Additional Fees \J)11L' TOTAL PERMIT FEES , $60.00/ \ L_ !'%C ATE / Total Fees: $60.00 Total, Payments To Date: P.R D 1952 $6000 Balance Due: $0.00 O ' FINAL APPROVAL Inspector: f Date: F 01 -U 'e_ Clearance: NOTICE: Please take NOTICE that approval of your project includes the'Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as fees/exacti'ns. You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. if you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for proOessing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave:, Carlsbad, CA 92008 FOR OFFICE USE ONLY . PLAN CHECK NO._________ EST. VAL. Plan Ck. Deposit Validated By_______________________ Date Address (include Bldg/Suite #) - Business Name (at this address) Legal Description Lot No. Subdivision Name/Number - Unit No. Phase No. Total # of units V.A IOG4€.. . Assessor's Parcel # Existing Use . - Proposed, Use coep..rd. Description 6f 'Work - SQ. FT. #of Stories # of Bedroomi N of Bathrooms Name Address . City State/Zip Telephone N Fax N Name Name . .• Address City State/Zip Telephone N ITAKC (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its Issuance, also requires the applicant for such permit to file a signed statement that he is licensed Pursuant to the provisions of the Contractor's License Law IChapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code-] or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the a ph ant to a ci il penalty of not more than fiv hun dollar l$5001 'I4. .r jc4SbY\ P Led. L -rr kiO ttIH'i Name . Address-4 . City State/?n. T8leo e N %j 4 State Ucye N 44111t License Class (.1cA City Business License # 10 9 ova ignur name .. . . Roaress .. - City State/Zip Telephone State License I Workers' Compensation Declaration: I hereby affirm under penalty of perjury onO of the following declarations: . o I have and will maintain a certificate of consent to self-Insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for whichthls permit is IssUed.' •. , . -. - Iss I have and will maintain workers' compensation, as required by Section 3700 of the. Lebor Code, for the performance of the work for which this permit is, ued. My worker's compensation insurance carrier and policy number are: Insurance Company QQA cC"t. ; t.. A44'/ Policy No.\J S1,1 1O °t LI Expiration Date" (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100j OR LESS),' . . -. 0- CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permIt is issued, I shell not employ any parson In any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to so r worlers compensation coverage Is untawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars $1 , 0 naddltlon to the cost of compensation, damages as provided for In Section 3706 of the Labor do, Intgrest and attorney's fees. .SJGNATU -'.- . DATE I hereby affirm that Thm exempt from the Contractor's Ucense Law for the following reason 0 . I, as owner of the property or my employees with wages as their sole compensation, will do thi work and 'the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law doeê not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees,- provided that such improvements are not intended or offered for sale. If, however,'the building or improvement is - sold within one year of completion, the owrierbuilder will have the burden of proving that he did not build or Improve for the purpose of sale). 0 I. as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or Improves thereon, and contractsfor such projects with contractor(s) licensed pursuant to the Contractor's License Law). 0 I am exempt under Section Business and Professions Codefor this reason: . 1 I personally plan to provide the major labor and materials for construction of the proposed property improvement 0 YES ONO 2. I (have I have not) signed an applicition for a building permit for the proposed work. 3 I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number) I plan'to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name! address I phone - number I contractors license number): -_.. - - - . - I will provide some of the work, but I have contracted (hired) the following persons' to provide the work indicated (include name / address / phone number -/ type of work):. - - . . - - PROPERTY OWNER SIGNATURE ---:' DATE•-. _. . Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management end prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner HazardoUs Substance Account Act? 0 YES 0 NO. . . . • Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES 0 NO - Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES 0 NO - IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. . . • - I hereby affirm that there is a construction lending agency for the performance of the work for which this permit Is issued (Sec 30970) Civil Code) LENDER'S NAME --. LENDERS ADDRESS' I certify that I have reed the application and state that the above information is correct and that the information on the plans Is accurate. - I agree to comply with all - City ordinances and State laws relating to building construction. I hereby authorize representatives of the Citt, of Carlsbad to enter upon the above mentioned property for Inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit Is required for excavatiàns over 5'0 deep anddemolition or construction of structures over 3 stories In height. EXPIRATION: Every, permit Issued by the building Official under the. provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit Is not commenced within 180 days from the date of such permit or If the building or work authorized by such-permit Is suspended or abandoned at any time after the work is commenced for q period of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE -- DATE WHITE: File YELLOW Applicant PINK: Finance - DOW City of Carlsbad Bldg Inspection Request For 12/23/2005 Permit# CB054229 Inspector Assignment: PY TitleHfILLERRES- COPPERREPIPE Description- -Type: V PLUM Sub Type: • V - V V V Phone: 7607294600 V Job Address: 2872 NANTUCKET LN V V V Suite: V Lot 0 V Location Inspector IF APPLICANT ANDERSON PLUMBING INC,WALTER V V V Owner: FILLER ROBERT W&CHRIST!NA G V V V• Remarks THE ACTUAL ADDRESS IS 28721 N 47 Total Time: • • -V Requested By: BRANDY V • V V • * V • .' Entered.By: BINSPECT . V CD DeDescription Act Cont 29 2 • V V Comments/Notices/Hold p V Associated PCRs/CVs • V •VV •V Z ,V , II - Act Insp' Comments e dill 40 Date Description Inspection History, 12/15/2005 24 Rough/Topout AP py -ADDRESS NEEDS TO BE CHANGED 10872 SANFORD LN V 12/1412005 24 Rough/Topout NR PY COULD NOT FIND THIS ADDRESSAS * V V V V V 4 V • V • * • V I••V V V V • V V •V - • •_• •'V • • • V V -- V • •V• • V• ••